Kim Marie Donovan, LCSW Valid NPI
Individual provider · Clinical Social Worker · Roscoe, IL
- NPI
- 1225674674
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 149.019932 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-11-20
- Last updated
- 2019-11-20
Practice location
11447 2nd St Ste 9b
Roscoe, IL 61073-9522
(815) 601-4673